Lévesque J P, Takamatsu Y, Nilsson S K, Haylock D N, Simmons P J
Peter MacCallum Cancer Institute, East Melbourne, Victoria, Australia.
Blood. 2001 Sep 1;98(5):1289-97. doi: 10.1182/blood.v98.5.1289.
Mobilized progenitor cells currently represent the most commonly used source of hematopoietic progenitor cells (HPCs) to effect hematopoietic reconstitution following myeloablative chemotherapies. Despite their widespread use, the molecular mechanisms responsible for the enforced egress of HPCs from the bone marrow (BM) into the circulation in response to mobilizing agents such as cytokines remain to be determined. Results of this study indicate that expression of vascular cell adhesion molecule-1 (VCAM-1) is strongly reduced in vivo in the BM during HPC mobilization by granulocyte colony-stimulating factor (G-CSF) and stem cell factor. Two serine proteases, namely, neutrophil elastase and cathepsin G, were identified, which cleave VCAM-1 and are released by neutrophils accumulating in the BM during the course of immobilization induced by G-CSF. The proposal is made that an essential step contributing to the mobilization of HPCs is the proteolytic cleavage of VCAM-1 expressed by BM stromal cells, an event triggered by the degranulation of neutrophils accumulating in the BM in response to the administration of G-CSF.
动员后的祖细胞目前是造血祖细胞(HPC)最常用的来源,用于在清髓性化疗后实现造血重建。尽管它们被广泛使用,但响应细胞因子等动员剂,促使HPC从骨髓(BM)进入循环的分子机制仍有待确定。本研究结果表明,在粒细胞集落刺激因子(G-CSF)和干细胞因子动员HPC期间,骨髓中血管细胞黏附分子-1(VCAM-1)的表达在体内显著降低。鉴定出两种丝氨酸蛋白酶,即中性粒细胞弹性蛋白酶和组织蛋白酶G,它们可裂解VCAM-1,并由在G-CSF诱导的固定过程中积聚在骨髓中的中性粒细胞释放。有人提出,促成HPC动员的一个关键步骤是骨髓基质细胞表达的VCAM-1的蛋白水解裂解,这一事件是由响应G-CSF给药而积聚在骨髓中的中性粒细胞脱颗粒触发的。